Healthcare Revenue Cycle Management Solutions

We build custom healthcare revenue cycle management software to meet unique business processes of your practice and deliver efficient solutions that improve cash flow and increase ROI. 

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Business and Clinical Sides of Healthcare Practice Connected

Revenue cycle management involves various steps and tasks that are required to generate revenue from the healthcare providers delivered to patients. These include scheduling appointments, insurance eligibility verification, collecting co-pays and deductibles, coding and submitting claims, denial management, posting payments, and managing accounts receivable.

If in short, revenue cycle management includes the entire process of medical billing and collecting revenue from healthcare payers. By adopting efficient practice management software with healthcare payment solution, you will notice increase in speed of healthcare operations. This includes reduced errors, delays, and inefficiencies, with real-time data and insights that can help you monitor and improve your financial performance. 

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Key Features of Revenue Cycle Management Solutions

Real-time Reporting and Forecasting 

By empowering healthcare providers with instant access to financial data, healthcare revenue cycle decision-making is improved thanks to accurate financial planning and performance evaluation.

Streamlined Intake Forms

By simplifying the patient access and registration process, this feature reduces administrative work and minimizes errors. 

Easy Final Payment

Ensuring convenience for patients, it offers various payment options, making it hassle-free for patients to settle their bills. It improves collections and enhances the whole revenue cycle management.

Integrated Patient Portal

Patient portals facilitate patient engagement, that allows individuals to access their healthcare information, make payments, and schedule appointments online. It promotes transparency and self-servic

Mobile Payments

This feature lets patients make payments using their mobile devices, adapting to the preferences of today’s on-the-go lifestyle. 

Insurance Eligibility

By streamlining insurance-related processes, you can verify patient insurance eligibility verification promptly. It reduces the likelihood of claim denials and ensures a smoother revenue cycle.

Digital Forms and Questionnaires

The replacement of traditional paper forms with electronic versions simplifies data collection and record-keeping. It enhances efficiency and organization in managing patient information.

Virtual Check-in

This feature reduces wait times and streamlines the registration process. It improves patient flow and contributes to a more efficient healthcare environment.

Medical Billing Feature

It handles various aspects of billing, ensuring that claims are submitted accurately and on time. It plays a critical role in optimizing revenue collection for healthcare providers.

Medical Coding

Appropriate codes in medical procedures minimizes coding errors and ensures accurate claims management. It reduces claim denials and optimizes reimbursement for medical services.

Reasons to Build a Custom Revenue Cycle Management Software

As a custom RCM services software company, we provide comprehensive benefits for medical institutions that require to deliver convenient billing experiences to their patients.

No Fragmentation

Eliminate Fragmentation

By integrating all the aspects of your revenue cycle management into one system, you can eliminate inconsistency that can lead to errors, rework, and lost revenue. This integration reduces fragmentation, improves data consistency, and enhances the overall management of financial information, ensuring that nothing falls through the cracks.

Operational Efficiency

Improve Operational Efficiency

By automating and streamlining your revenue cycle management processes, you can improve your operational efficiency and productivity. Staff can work more effectively, reducing administrative burdens and allowing them to focus on more critical tasks.

Claim Denials

Reduce Claim Denials

One of the primary functions of an RCM system is to enhance the accuracy and completeness of claims submissions. By providing tools for error checking, coding validation, and thorough clinical documentation improvement, RCM systems help reduce claim denials. Better denial management means faster reimbursement and less time spent on resubmissions and appeals.

Accurate Revenue Forecast

Accurate Revenue Forecast

RCM systems offer real-time data and analytics, enabling healthcare organizations to have more accurate revenue cycle forecasting. This capability is crucial for financial planning, budgeting, and decision-making, helping organizations anticipate and address financial challenges and opportunities effectively.

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Custom Healthcare Revenue Cycle Management Software Development

Customized systems ensure compliance with regulations like HIPAA, optimizing efficiency while enhancing the patient billing experience. In a complex and costly healthcare landscape, custom revenue cycle management solutions are essential for maintaining financial stability and quality patient care in all niches.

Revenue Cycle Management Platform for Dentistry

Revenue Cycle Management System caters to the niche’s unique needs, such as dental procedure coding, insurance claims for common dental services, and secure payment processing. 

Custom RCM services solution helps to streamline billing for procedures like cleanings, fillings, and extractions, ensuring efficient claims and denial management and accurate payments. It’s equipped to handle insurance eligibility checks and facilitate direct patient payments for medical services. 

Additionally, by providing user-friendly patient statements and invoices specific to dental treatments and your practice, you improve transparency in billing for patients within the dental domain.

RCM Services for Behavioral Health and Addiction Treatment Centers

These revenue cycle management software focuses on managing financial processes related to mental health and addiction services. Specifically, it streamlines the billing and claims processing for therapies, counseling, and addiction treatments. 

The system ensures compliance with insurance regulations for behavioral health services, handles patient statements and invoicing tailored to this domain, and supports various payment methods. 

Customized medical coding and claim management are designed to address the specifics of this niche, allowing for efficient reimbursement and patient billing.

Revenue Cycle Management for Ambulatory Practices

Revenue Cycle Management software excel in optimizing the financial processes for various ambulatory services such as primary care, urgent care, and outpatient surgeries. The system focuses on efficient patient registration, insurance verification, claims management, and streamlined billing, tailored to ambulatory care procedures. 

It usually supports different payment methods, including co-pays and self-pay options. The system should ensure claims are accurately generated with specific medical coding, and it generates clear patient statements and invoices for transparent billing. 

Integration with Electronic Health Records (EHR) is central to this niche, enabling synchronization of clinical and financial data.

RCM Services Elective Medical Industry

The RCM system gathers patients’ insurance and payment information in advance to facilitate billing associated with elective surgeries and treatments, such as cosmetic procedures and elective surgeries. 

Ideally, the Revenue Cycle Management system should support payment options including insurance claims, upfront payments, and payment plans.  Its comprehensive data analytics and reporting offers insights into financial performance, and the system ensures compliance with healthcare regulations, including HIPAA. 

RCM Services for Practices of All Sizes

In most cases, custom RCM solutions encompasses patient registration, billing, and claims processing to ensure efficient payment collection. Thus, there is no need to overpay for extra functionality of off-the-shelf revenue cycle management solutions that a healthcare provider doesn’t need.

The ideal revenue cycle system will support various payment methods specific to your practice, from insurance claims to co-pays and self-pay options, tailored to the niche and size of the practice. The whole idea of custom revenue cycle software, is to make the future platform adaptable to specific domain requirements, enhancing financial stability.

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Our Core Healthcare Software Development Services

Recognizing the unique needs of healthcare organizations, we design solutions that align with your revenue cycle management and ensures revenue integrity. 

Remote Patient Monitoring

Remote Patient Monitoring

We build solutions for healthcare organizations that can enable you to monitor the health status and vital signs of your patients remotely using wearable devices, sensors, mobile apps, and cloud platforms. Now, you can change healthcare practice for better and at the same time ensure revenue integrity of the new offerings.

Behavioral Health and Addiction Treatment Software

Behavioral Health and Addiction Treatment Software

Our custom practice management solution improve clinical workflow management, documentation, scheduling, billing, reporting, patient engagement and more by developing a custom solution that meets your unique business processes. 

Telehealth Solutions

Telehealth Solutions

We can deliver a complex practice management system that include video conferencing, messaging, chatbots, artificial intelligence, and more for healthcare providers. It will integrate with your existing systems to offer top medical services to your patients. For your business, it also incorporates faster eligibility verification and claims management.

Web App Development

Web App Development

Get a user-friendly and responsive interface for your patients and staff members to access your services online. By leveraging the latest web technologies and frameworks, we ensure the high performance and security of your web app.

UX Design

UX Design

Enhance the usability and accessibility of your software solutions with intuitive and logical user experience. Get all the benefits from our user research, prototyping, testing, and evaluation methods to ensure optimal user feedback and engagement.

Mobile App Development

Mobile App Development

Provide a convenient and portable way for your patients and staff members to access your services on their smartphones or tablets. Take advantage of the native features and functionalities of mobile devices to improve your service delivery.

Customize After-Visit Summaries And Reply to Patient Messages Sooner With Custom Revenue Cycle Software

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Cooperation Model

Time and Material Based

This model involves paying for the actual time and resourses used in your solution. It would be the best option for projects that have evolving or unclear requirements, since it offers the flexibility to accommodate evolving features.

Fixed Price-Range

If your project’s scope, requirements and deliverables are well-defined, our development team will provide a fixed price for the entire project. This cooperation model is suitable for well-understood, stable projects with minimal expected changes.

Iterative Planning

The development process is divided into smaller, manageable phases with specific goals and timelines. Iterative planning ideal for complex and dynamic projects where requirements may evolve over time. If you would like to start as soon as possible, our team will create an estimate price based on the milestones.


Remote Patient Monitoring Solution That Supports 10k Monitoring Patients And 10k Devices

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HIPAA-compliant EHR system and Patient Portal For Mental Health Clinic

We’ve built a HIPAA-compliant EHR system and Patient Portal for them with advanced telemedicine, billing, and reporting & analytics modules.

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What Clients Say

I am most impressed with the high quality of design and development, which is really important to us.  They have designed the product to be extensible, with a solid base and architectural backend to allow for product implementation and design scaling. Also, the product hasn’t been buggy at all, so we can support it without difficulty.

As an ongoing partner, they continue to dedicate a communicative, highly skilled team that meets deadlines and stays on budget.

Nathaniel Weiss, CEO at VelloHealth

We were building an MVP that will eventually serve as a full personal health record (PHR) solutions platform. The quality of their work was excellent. They’re a very smart, informed company that understands how to create a functionally-sound platform. They provide accurate cost estimates and timelines, which is very helpful as well. I enjoyed working with them. 

Jessica Blanding, Owner at Text and Online Counseling

A-Players Deliver Top Results

Alex Shpachuk

CEO & Co-Founder

Working with healthcare projects for more than 10 years

Anna Khmilova

Business Analyst

6 years in the Business Analyst role, IIBA® Member

Oleg Stefaniuk

Project Manager

Manages healthcare projects for 5+ years

Healthcare Software Integrations We Implement

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Telehealth & Secure Messaging


Will the revenue cycle management solutions be integrated with my health information system?

Yes, we will integrate your custom healthcare RCM sofware with your existing health systems or any other software system that you use. The level and complexity of integration will depend on the specific needs of your healthcare organization and the capabilities of your chosen RCM and HIS/EHR systems.

How much does it cost to develop custom revenue cycle solutions?

While there is no fixed average cost, a ballpark estimate for a mid-sized RCM solution, which is not highly customized, can range from $200,000 to $500,000 or more. However, there are a number of factors that influence the cost of developing a healthcare revenue cycle management solution such as the scope, complexity, features, functionality, integration requirements of your project. 

It’s essential to work with experienced RCM solution providers to obtain accurate cost estimates based on the specific requirements and objectives of your healthcare organization.

How long does it take to develop revenue management solutions?

A rough estimate for a typical RCM solution would range from 9 months to 18 months. The complexity of the RCM solution, the number of features, integration requirements, and customization will significantly influence the timeline. Smaller or less complex RCM solutions may be completed in a shorter period, while large, highly customized systems for large healthcare organizations may require more time.


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